<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
                                                                							                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">档案id：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="traceabilityFileId" name="traceabilityFileId" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">商户id：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="companyId" name="companyId" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <div class="form-group">
								<label class="col-sm-3 control-label">名称：</label>
								<div class="col-sm-8">
									<input id="reportName" name="reportName" class="form-control" type="text">
								</div>
							</div>
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">状态0正常1删除：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="state" name="state" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->

														                                                                <div class="form-group">
								<label class="col-sm-3 control-label">批次：</label>
								<div class="col-sm-8">
									<input id="batchNumber" name="batchNumber" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">检测时间：</label>
								<div class="col-sm-8">
									<input id="checkDate" name="checkDate" class="form-control" type="text" autocomplete="off">
								</div>
							</div>
														                                                                <div class="form-group">
								<label class="col-sm-3 control-label">检测人：</label>
								<div class="col-sm-8">
									<input id="checkBy" name="checkBy" class="form-control" type="text">
								</div>
							</div>
<!--														                                                                <div class="form-group">	-->
<!--								<label class="col-sm-3 control-label">检测类型：</label>-->
<!--								<div class="col-sm-8">-->
<!--									<select id="checkTypeId" name="checkTypeId" class="form-control">-->

<!--									</select>-->
<!--								</div>-->
<!--							</div>-->
<!--														                                                                <div class="form-group">	-->
<!--								<label class="col-sm-3 control-label">检测企业机构：</label>-->
<!--								<div class="col-sm-8">-->
<!--									<select id="checkMechanismId" name="checkMechanismId" class="form-control">-->
<!--										<option>&#45;&#45;&#45;&#45;请选择&#45;&#45;&#45;&#45;</option>-->
<!--									</select>-->
<!--								</div>-->
<!--							</div>-->

														                                                                <div class="form-group">
								<label class="col-sm-3 control-label">检测人电话(非必填)：</label>
								<div class="col-sm-8">
									<input id="checkPhone" name="checkPhone" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
									<input type="button" class="btn btn-danger" value="取消"
										   onclick="javascript:
											var index = parent.layer.getFrameIndex(window.name); // 获取窗口索引
				                            parent.layer.close(index);">
									</input>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript">
        laydate.render({
			elem : '#checkDate',
			type : 'date'
        });
	</script>
	<script type="text/javascript" th:src="@{/js/appjs/report/report/add.js}" src="/js/appjs/report/report/add.js">
	</script>

</body>
</html>
